| NPI | 1952760324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ERIC MASHBURN Clinical Psychologist 205-286-6917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AL 1258) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |